<%@ taglib uri="http://java.sun.com/jsp/jstl/functions" prefix="fn"%>
<jsp:include page="/jsp/layout/cabecalho.jsp" flush="true"></jsp:include>
<jsp:include page="/jsp/layout/menu.jsp" flush="true"></jsp:include>


<div id="box_principal">
	<div id="box_top">&nbsp;</div>
	<div id="box_titulo">
		<font class="titulo"><b>Forma de Pagamento escolhida:</b></font>
	</div>
	<div id="box_form">
	<table width="530" border="0" align="center" cellpadding="0" cellspacing="0">	
	</br>
	<tr>
		<td align="right"><b>Nome do titular  </b></td>
		<td><input type="text" value="" name="nome_titular"></input></td>
	</tr>
	<tr>
		<td align="right"><b>Cartão  </b></td>
		<td><input type="text" value="" name="nome_titular"></input></td>
	</tr>	
	<tr>
		<td align="right"><b>Cartão  </b></td>
		<td><input type="text" value="" name="nome_titular"></input></td>
	</tr>	
	<tr>
		<td align="right"><b>Cartão  </b></td>
		<td><input type="text" value="" name="nome_titular"></input></td>
	</tr>	
	<tr>
		<td align="right"><b>Cartão  </b></td>
		<td><input type="text" value="" name="nome_titular"></input></td>
	</tr>								
	</table>
	<form action="/SDC/SacolaServlet?action=encerrar">
		<input id="bt_prosseguir" src="/SDC/images/bt_prosseguir.gif" type="image"/>
	</form>
		
		
	</div>
	<div id="box_bottom">&nbsp;</div>
</div>	

<jsp:include page="/jsp/layout/rodape.jsp" flush="true"></jsp:include>	